EP1235523B1 - Plaque vissee resorbable - Google Patents

Plaque vissee resorbable Download PDF

Info

Publication number
EP1235523B1
EP1235523B1 EP99974247A EP99974247A EP1235523B1 EP 1235523 B1 EP1235523 B1 EP 1235523B1 EP 99974247 A EP99974247 A EP 99974247A EP 99974247 A EP99974247 A EP 99974247A EP 1235523 B1 EP1235523 B1 EP 1235523B1
Authority
EP
European Patent Office
Prior art keywords
holes
bone plate
bone
plate according
plate
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
EP99974247A
Other languages
German (de)
English (en)
Other versions
EP1235523A1 (fr
Inventor
Raymond Curtis
Markus Hehli
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Synthes GmbH
Original Assignee
Synthes AG Chur
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Synthes AG Chur filed Critical Synthes AG Chur
Publication of EP1235523A1 publication Critical patent/EP1235523A1/fr
Application granted granted Critical
Publication of EP1235523B1 publication Critical patent/EP1235523B1/fr
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8052Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
    • A61B17/8057Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00004(bio)absorbable, (bio)resorbable or resorptive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/0084Material properties low friction

Definitions

  • This invention concerns a bone plate in accordance with the pre-characterising portion of Claim 1.
  • a bone plate is disclosed in EP-A- 0530585, which defines the preamble of claim 1.
  • Bone plates made of titanium have shown that this material has such a bio-compatibility that soft-tissue is adhering thereto which can be in certain situations an undesirable property for bone plates.
  • bone plates made of bioresorbable materials usually have insufficient mechanical properties (e.g. stiffness).
  • the invention as claimed aims at overcoming the problems of adherence of soft-tissue and to optimize shape and function of an resorbable plate given the limitations of the properties of these materials.
  • the present invention provides a bone plate as defined in Claim 1.
  • Resorbable materials to be used for the device according to the invention can be resorbable polymers like highly purified polyhydroxyacids, polysaccharides, polyamines, polyaminoacids, polyorthoesters, polyanhydrides, polyamidoesters, polydioxanone, polyesteramides, copolyoxalates, polycarbonates or poly-(glutamic-co-leucine).
  • polylactides are used or their combinations with polyhydroxybutyrates or polyhydroxyvalerates and/or resorbable glasses.
  • polyhydroxyacids comprise polycaprolactone, poly(L-lactide), poly(DL-lactide), polyglycolide, poly-(DL-lactide-co-glycolide), poly(DL-lactide-co-caprolactone).
  • the lower surface of the bone plate has a radius of curvature R which is smaller than 9 mm.
  • the axis of the hollow cylinder corresponding to the curved plate is running parallel to the central longitudinal axis of the plate.
  • the ratio F/d of the total area F of the upper surface (including the surface area of the through holes) to the thickness d of the plate is in the range of 210 to 240 mm.
  • the ratio F/f of the total area F of the upper surface (including the surface area of the through holes) to the true surface f of the upper surface (excluding the surface area of the through holes) is in the range of 1,10 - 1,25.
  • the width of the free ends of the longitudinal plate is narrowing to value b being preferably smaller than 0,15 B.
  • the upper surface of the bone plate has preferably a roughness of 0,5 ⁇ m to 5,0 ⁇ m, typically of 0,6 ⁇ m to 2,5 ⁇ m. in order to avoid the adherence of soft tissue after implantation. In any case it is preferred that the upper surface is smoother than the lower surface.
  • the bone plate is provided with a torsion around its central longitudinal axis which allows application to the required bone profile.
  • the degree of torsion of the bone plate is preferably between ⁇ 1° to ⁇ 20° over the total length.
  • the length 1 of the central part of the longitudinal plate corresponds preferably to 73 - 82 % of the total length L of the plate.
  • conical through holes may be provided with a thread.
  • through holes it is also possible to use through holes with a smooth inner surface.
  • the through holes have preferably a cone angle of 15° to 25°, typically of 18° to 22°.
  • the bone plate is provided preferably with n ⁇ 4 holes (more preferably with n ⁇ 6 holes), whereby the two most centrally located holes have preferably a distance which is at least 150 %, preferably 180 % of the distance x between the other through holes.
  • Figure 1 shows a bone plate of longitudinal shape having an upper curved surface 1, a curved lower surface 2 for contacting a long bone, e.g. a metacarpal bone, six conical through holes 3 connecting the upper surface 1 with the lower surface 2 for receiving bone screws and a central longitudinal axis 4.
  • a long bone e.g. a metacarpal bone
  • six conical through holes 3 connecting the upper surface 1 with the lower surface 2 for receiving bone screws and a central longitudinal axis 4.
  • the through holes 3 have a cone angle of 20° and a minimum diameter D of 2,8 mm located at the lower side 2.
  • the lower surface 2 has a radius of curvature R of 7 mm.
  • the plate consists of polylactide copolymer with an enhanced degradation rate.
  • the ratio F/d of the total area F of the upper surface 1 (including the surface area of the through holes 3) to the thickness d of the plate has the value of 223 mm.
  • the ratio F/f of the total area F of the upper surface 1 including the surface area of the through holes 3 to the true surface f of the upper surface 1 excluding the surface area of the through holes 3 has the value of 1,17.
  • the central part of the longitudinal plate (over the length 1 in Fig. 1) has a constant width B whereas the width of the free ends of the longitudinal plate is narrowing gradually to value O in the form of a hemi-circle.
  • the length 1 of the central part of the longitudinal plate corresponds to 77 % of the total length L of the plate.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)
  • Professional, Industrial, Or Sporting Protective Garments (AREA)

Claims (13)

  1. Plaquette pour les os de forme longitudinale comportant une face supérieure (1), une face inférieure courbée (2) destinée à entrer en contact avec l'os, une pluralité de perçages traversants coniques (3) reliant la face supérieure (1) à la face inférieure (2) pour recevoir des vis pour les os, un axe central longitudinal (4) et constitué d'un matériau résorbable,
    caractérisée en ce que
    A) la face inférieure courbée (2) a un rayon de courbure R inférieur à 10 mm,
    B) le ratio F/d de la surface totale F de la face supérieure (1) comprenant la surfaces des perçages traversants (3) à l'épaisseur d de la plaquette est compris entre 190 et 270 mm, et
    C) la partie centrale de la plaquette longitudinale a une largeur B généralement constante, la largeur des extrémités dégagées de cette plaquette longitudinale se rétrécissant pour atteindre une valeur b jusqu'à 0,3 B.
  2. Plaquette pour les os selon la revendication 1, caractérisée en ce que le rayon de la courbure R est inférieur à 9 mm.
  3. Plaquette pour les os selon la revendication 1 ou 2, caractérisée en ce que le ratio F/d est compris entre 210 et 240 mm.
  4. Plaquette pour les os selon une des revendications 1 à 3, caractérisée en ce que le ratio F/f de la surface totale F de la face supérieure (1) comprenant la surface des perçages traversants (3) à la surface exacte f de la face supérieure (1), qui ne comprend pas la surface des trous traversants (3), est compris entre 1,10 à 1,25.
  5. Plaquette pour les os selon une des revendications 1 à 4, caractérisée en ce que la largeur des extrémités dégagées de la plaquette longitudinale se rétrécit pour atteindre une valeur b jusqu'à 0,15 B.
  6. Plaquette pour les os selon une des revendications 1 à 5, caractérisée en ce que la face supérieure (1) a une rugosité de 0,5 à 5,0 µm, de préférence de 0,5 à 2,5 µm.
  7. Plaquette pour les os selon une des revendications 1 à 6, caractérisée en ce que la face supérieure (1) est plus lisse que la face inférieure (2).
  8. Plaquette pour les os selon une des revendications 1 à 6, caractérisée en ce que la plaquette est pourvue d'une torsion autour de son axe central longitudinal (4).
  9. Plaquette pour les os selon une des revendications 1 à 8, caractérisée en ce que la longueur I de la partie centrale de la plaquette longitudinale est égale à 73-82 % de la longueur totale L de la plaquette.
  10. Plaquette pour les os selon une des revendications 1 à 9, caractérisée en ce que les perçages coniques traversants (3) sont pourvus d'un filetage.
  11. Plaquette pour les os selon une des revendications 1 à 10, caractérisée en ce que les perçages coniques traversants (3) ont une surface intérieure lisse.
  12. Plaquette pour les os selon une des revendications 1 à 11, caractérisée en ce qu'elle est pourvue d'un nombre n = 4 perçages (3), de préférence de n = 6 perçages (3) et que les deux perçages (3) situés le plus au centre ont une distance qui est au moins égale à 102 %, de préférence 150 à 180 % de la distance x entre les autres trous (3).
  13. Plaquette pour les os selon une des revendications 1 à 12, caractérisée en ce que les trous traversants (3) ont un angle de cône de 15° à 25°, de préférence de 18° à 22°.
EP99974247A 1999-12-06 1999-12-06 Plaque vissee resorbable Expired - Lifetime EP1235523B1 (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/CH1999/000582 WO2001041663A1 (fr) 1999-12-06 1999-12-06 Plaque vissee resorbable

Publications (2)

Publication Number Publication Date
EP1235523A1 EP1235523A1 (fr) 2002-09-04
EP1235523B1 true EP1235523B1 (fr) 2004-09-01

Family

ID=4551743

Family Applications (1)

Application Number Title Priority Date Filing Date
EP99974247A Expired - Lifetime EP1235523B1 (fr) 1999-12-06 1999-12-06 Plaque vissee resorbable

Country Status (10)

Country Link
US (1) US20030004515A1 (fr)
EP (1) EP1235523B1 (fr)
JP (1) JP2003515426A (fr)
AT (1) ATE274857T1 (fr)
AU (1) AU770059B2 (fr)
CA (1) CA2393206A1 (fr)
DE (1) DE69919911T2 (fr)
ES (1) ES2229826T3 (fr)
HK (1) HK1048748B (fr)
WO (1) WO2001041663A1 (fr)

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ES2187195T3 (es) * 1998-09-11 2003-05-16 Gerhard Dr Schmidmaier Implantes biologicamente activos.
US20050038435A1 (en) 2000-08-22 2005-02-17 J. Dean Cole Intramerdullary canal diameter reducer background of the invention
US7811312B2 (en) * 2002-12-04 2010-10-12 Morphographics, Lc Bone alignment implant and method of use
US8551145B2 (en) 2005-12-19 2013-10-08 Mayo Foundation For Medical Education And Research Anterior adherent thoracolumbar spine plate
US8057520B2 (en) * 2006-07-18 2011-11-15 Orthohelix Surgical Designs, Inc. Calcaneal plate
US20080312698A1 (en) * 2007-06-14 2008-12-18 Bergeron Brian J Device and system for stabilizing movement between bony tissue and method for implanting
US20090082816A1 (en) * 2007-09-20 2009-03-26 Graham Matthew R Remodelable orthopaedic spacer and method of using the same
US20100094352A1 (en) * 2008-10-10 2010-04-15 Andrew Iott Bone screw
JP6096190B2 (ja) 2011-08-16 2017-03-15 シンセス・ゲーエムベーハーSynthes GmbH 熱可塑性多層物品
CA2854667C (fr) 2011-11-07 2021-03-30 Thomas Imwinkelried Electrolyte faible pour revetements plasmaelectrolytiques biocompatibles sur implant en magnesium
EP3308736B1 (fr) * 2015-06-09 2022-04-06 She, Chengxin Plaque osseuse de fixation

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3695259A (en) * 1970-11-10 1972-10-03 Clyde E Yost Bone plate
US4776330A (en) * 1986-06-23 1988-10-11 Pfizer Hospital Products Group, Inc. Modular femoral fixation system
US4905680A (en) * 1986-10-27 1990-03-06 Johnson & Johnson Orthopaedics, Inc. Absorbable bone plate
US4966599A (en) * 1987-04-07 1990-10-30 Pollock Richard A Anatomical precontoured plating, instruments and methods
US5151103A (en) * 1987-11-03 1992-09-29 Synthes (U.S.A.) Point contact bone compression plate
JP3148932B2 (ja) * 1991-06-28 2001-03-26 タキロン株式会社 骨折部の内固定材用生体内分解吸収性プレート
US5275601A (en) * 1991-09-03 1994-01-04 Synthes (U.S.A) Self-locking resorbable screws and plates for internal fixation of bone fractures and tendon-to-bone attachment
FR2693899B1 (fr) * 1992-07-24 1994-09-23 Laboureau Jacques Agrafe-plaque d'ostéosynthèse.
US6491723B1 (en) * 1996-02-27 2002-12-10 Implant Innovations, Inc. Implant surface preparation method
ES2158127T3 (es) * 1995-09-06 2001-09-01 Synthes Ag Lamina osea.
US6033582A (en) * 1996-01-22 2000-03-07 Etex Corporation Surface modification of medical implants
GB9801987D0 (en) * 1998-01-31 1998-03-25 Depuy Int Ltd A fixation device for a bone fracture
US7052499B2 (en) * 1998-02-18 2006-05-30 Walter Lorenz Surgical, Inc. Method and apparatus for bone fracture fixation
ES1039613Y (es) * 1998-02-24 1999-06-01 Mecanismos Aux Ind Portamodulos de dos modulos perfeccionado.
US6221075B1 (en) * 1998-03-06 2001-04-24 Bionx Implants Oy Bioabsorbable, deformable fixation plate
US5861452A (en) * 1998-03-20 1999-01-19 E. I. Du Pont De Nemours And Company Scratch and scuff resistant polymer
DE19951760B4 (de) * 1999-10-27 2005-06-09 Sepitec Foundation Implantat für Osteosynthesen

Also Published As

Publication number Publication date
DE69919911D1 (de) 2004-10-07
JP2003515426A (ja) 2003-05-07
HK1048748A1 (en) 2003-04-17
AU770059B2 (en) 2004-02-12
ES2229826T3 (es) 2005-04-16
AU1371000A (en) 2001-06-18
ATE274857T1 (de) 2004-09-15
US20030004515A1 (en) 2003-01-02
DE69919911T2 (de) 2005-09-15
CA2393206A1 (fr) 2001-06-14
EP1235523A1 (fr) 2002-09-04
HK1048748B (en) 2004-12-31
WO2001041663A1 (fr) 2001-06-14

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